HEIDI M STORM - Dietitian and Nutritionist License in Illinois | # 164000961

HEIDI M STORM

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164000961

License Status

NOT RENEWED

Business

N

First Name

HEIDI M

Last Name

STORM

Business Name

HEIDI M STORM

Original Issue Date

11/28/1995

Effective Date

12/10/2003

Expiration Date

10/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005